title: Feasibility and acceptability of a delirium prevention program for cognitively impaired long term care residents: a participatory approach.
abstract: In this participatory action research study, researchers conducted a total of 3 implementation cycles to evaluate the feasibility and acceptability of a new delirium prevention program (DPP) for cognitively impaired residents in long term care (LTC) settings. Researchers interviewed 95 health care staff to obtain feedback on their use of the DPP and then modified the DPP and tested the changes in the next implementation cycle. Our results indicated that the DPP was feasible and that health care staff would accept it under certain conditions. We found there were 4 keys to successful implementation of the DPP: support for the program from both the administration and the users; effective clinician leadership to ensure proper delivery of the DPP (format, content and values) and its appropriate adaptation to the LTC facility's internal culture and policies; a sense of ownership among the DPP users; and, last, practical hands-on training as well as theoretical training for staff.
authors.affiliation: Faculty of Nursing Sciences, Laval University, Quebec City, Quebec, Canada; Centre for Excellence in Aging-Research Unit, Quebec City, Quebec, Canada. Electronic address: philippe.voyer@fsi.ulaval.ca.
authors.forename: Philippe
authors.initials: P
authors.lastname: Voyer
authors.affiliation: St Mary's Research Centre, St Mary's Hospital, Montreal, Quebec, Canada; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
authors.forename: Jane
authors.initials: J
authors.lastname: McCusker
authors.affiliation: Department of Psychiatry, St Mary's Hospital, Montreal, Quebec, Canada; Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
authors.forename: Martin G
authors.initials: MG
authors.lastname: Cole
authors.affiliation: Division of Geriatric Medicine, Jewish General Hospital and Donald Berman Maimonides Geriatric Center, Montreal, Quebec, Canada.
authors.forename: Johanne
authors.initials: J
authors.lastname: Monette
authors.affiliation: Département de médecine familiale, Institut Universitaire de Gériatrie de Montréal, Université de Montréal, Montreal, Quebec, Canada.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Champoux
authors.affiliation: Division of Geriatric Medicine, Department of Medicine, Centre Hospitalier de l'Université de Montréal, Université de Montréal, Montreal, Quebec, Canada.
authors.forename: Minh
authors.initials: M
authors.lastname: Vu
authors.affiliation: St Mary's Research Centre, St Mary's Hospital, Montreal, Quebec, Canada; Department of Psychiatry, St Mary's Hospital, Montreal, Quebec, Canada.
authors.forename: Antonio
authors.initials: A
authors.lastname: Ciampi
authors.affiliation: St Mary's Research Centre, St Mary's Hospital, Montreal, Quebec, Canada.
authors.forename: Steven
authors.initials: S
authors.lastname: Sanche
authors.affiliation: Centre for Excellence in Aging-Research Unit, Quebec City, Quebec, Canada.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Richard
authors.affiliation: St Mary's Research Centre, St Mary's Hospital, Montreal, Quebec, Canada.
authors.forename: Manon
authors.initials: M
authors.lastname: de Raad
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D003072:Cognition Disorders / Q000453:epidemiology*; D055812:Community-Based Participatory Research; D003663:Decision Trees; D003693:Delirium / Q000517:prevention & control*; D005240:Feasibility Studies; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D007318:Inservice Training; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment; D015279:Organizational Culture; D016134:Organizational Policy; D016730:Program Development; D015397:Program Evaluation; D012112:Residential Facilities
keywords: Delirium; cognitive impairment; long term care; prevention